Individual provider Active NPI

Natalia Eltabaa, NP

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1215406459
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00873400 Issued in NJ
Practice address
401 Cooper Landing Rd Ste C22
Cherry Hill, NJ 08002-2587
Phone
(856) 536-1515
NPI assigned
Nov 16, 2018
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00873400 NJ Primary

Addresses

Primary practice location

401 Cooper Landing Rd Ste C22
Cherry Hill, NJ 08002-2587

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

63 Route 70 E
Marlton, NJ 08053-1749
Phone (856) 536-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513002214 NJ Practitioner - Nurse Practitioner 7113260241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

401 Cooper Landing Rd
Suite C22
Cherry Hill, NJ 08002-2587
Phone (856) 779-7779

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

73 N Maple Ave B
Kennedy Health Alliance
Marlton, NJ 08053-1782
Phone (844) 542-2273

8008 Route 130
Suite 120
Delran, NJ 08075-1869
Phone (856) 764-7997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Care Alliance, PC CurrentSince Aug 1, 2025 Accepting new patients
Kennedy Medical Group Practice P.C. CurrentSince Apr 1, 2019 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Apr 1, 2019 Accepting new patients
Family Physicians at Burlington Past Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients

Locations

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

401 Cooper Landing Rd
Ste C22
Cherry Hill, NJ 08002
Phone (856) 779-7779

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

63 Route 70 E
Marlton, NJ 08053
Phone (856) 396-0760

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

Interoperability endpoints

  • Direct secure messaging: neltabaa321031@direct.cooperhealth.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1215406459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COOPER LANDING RD STE C22",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022587",
            "telephone_number": "856-536-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080531749",
            "country_code": "US",
            "telephone_number": "856-536-1515",
            "fax_number": "856-412-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELTABAA",
        "first_name": "NATALIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00873400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.